Intra-abdominal migration of a generator from an epicardial pacemaker system is a
rare but potentially life-threatening complication. We report on a case of a 2-year-old
child in whom the generator silently migrated from the sheath of the rectus abdominis
muscle in the upper abdominal wall down into the peritoneal cavity. We advise that
if there is any evidence of intra-abdominal migration, the generator should be properly
repositioned without delay.
Artificial pacemaker - Pediatrics - Heart-block therapy
